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2. 
3. Orange JUICE Employee Recognition Form

   Have you observed a coworker going above and beyond at their job? Did they exemplify one or more of the JUICE characteristics (Joyful, Uplifting, Caring, Innovative, Empowering)? Use this form to let us know and you'll BOTH be entered for some fresh prize drawings! You must both be Orange County, Virginia government employees to participate.

5. Your First Name*
6. Your Last Name*
7. Their First Name*
8. Their Last Name*
10. JUICE Traits*

    Which of the JUICE characteristics did the employee display?

    1. Joyful
    2. Uplifting
    3. Innovative
    4. Caring
    5. Empowering
11. What Did They Do?*

    Use this space to describe the event or behavior you witnessed that encouraged you to submit this form. Please reference a specific instance rather than general awesomeness (although we encourage that too!). 

Leave This Blank:


13. 1. Receive an email copy of this form.
14. Email address

    This field is not part of the form submission.

15. Submit

* indicates a required field